Dissociative and Anxiety Disorders Flashcards by Josh Johnson

Depersonalization/Derealization

- duration

none specified

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Depersonalization/Derealization

- symptoms

feelings of disengagement from one’s environment, body, or social situation

Reality testing remains intact

No other mental disorder or medical condition

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Depersonalization/Derealization

- interventions

meditation or relaxation group 
Yoga
Reducing alarm emotions through relaxation techniques
Journaling (help identify triggers)
CBT: Disputing irrational beliefs 
Biofeedback
Bibliotherapy

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feelings of disengagement from one’s environment, body, or social situation

Reality testing remains intact

No other mental disorder or medical condition

Depersonalization/Derealization Disorder

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Depersonalization/Derealization

-differential

Illness Anxiety D/O

MDD

OCD

Anxiety

Psychotic

Substance use

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Dissociative Amnesia

- duration

none specified

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Dissociative Amnesia

- symptoms

abnormal forgetting about autobiographical information usually of a traumatic or stressful nature that is inconsistent with normal forgetting

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Dissociative Amnesia

- specifiers

With dissociative fugue - apparently purposeful travel or bewildered wandering that is associated with amnesia for identity or for other important autobiographical information

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Dissociative Amnesia

- differential

DID
PTSD
Neurocognitive Disorders
Substance use related disorders
TBI
Seizure disorder
Factitious

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Dissociative Amnesia

- interventions

Hypnosis; 
dream analysis
Visualization 
meditation 
Diary-events/emotions
Free association

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Dissociative Identity Disorder

- symptoms

shifts between 2 or more alternate identities

gaps in recall of everyday events, personal information, traumatic event

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Dissociative Identity Disorder

- differential

other dissociative d/o 
MDD; 
Bipolar; 
PTSD
Psychotic D/O; 
Substance Induced
Personality D/O
Conversion; 
Seizure d/o 
factitious/malingering

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abnormal forgetting about autobiographical information usually of a traumatic or stressful nature that is inconsistent with normal forgetting

Dissociative Amnesia

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Dissociative Identity Disorder

- interventions

Psychoeducation 
Yoga
Supportive Therapy
Hypnosis 
Expressive Arts 
Learn Coping Skills
Ego-State Therapy (second Phase
Tx) 
DBT
CBT: cognitive restructuring, relaxation, education
EMDR
Family therapy
Neurofeedback

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Separation Anxiety

- duration

greater than 4 weeks in children

greater than 6 months in adults

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Separation Anxiety

- symptoms

extreme fear/anxiety about separation from attachment figures
persistent worry about harm to attachment figure; worry figure leaving and not coming back; nightmares about separation
reluctance to go to school/work; refuse to sleep away from home
complaints of physical symptoms

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Separation Anxiety

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Separation Anxiety

- differential

GAD
Panic Disorder
Agoraphobia
Conduct Disorder (school avoidance) 
Social Anxiety Disorder
PTSD
Illness Anxiety Disorder
depressive
bipolar
ODD
psychotic disorder
dependent personality disorder

Specific Phobia

- duration

greater than 6 months

Specific Phobia

- symptoms

continual fear of an object or situation; not linked with real danger

avoidance of the object or situation

continual fear of an object or situation; not linked with real danger

avoidance of the object or situation

Specific Phobia

- specifiers

animal

natural environment

blood-injection-injury

situational

other

Specific Phobia

differential

Agoraphobia; 
Social Anxiety
Trauma/Stressor related
Separation Anxiety; 
Panic D/O;
OCD; 
Eating D/O 
Schizophrenia Spectrum

Social Anxiety Disorder

- duration

greater than 6 months

Social Anxiety Disorder | - symptoms

fear/anxiety about social situation exposed to scrutiny by others fear of being embarrassed, humiliated, or being judged by others situations are avoided or endured with intense fear

Social Anxiety disorder | - specifiers

performance only

fear/anxiety about social situation exposed to scrutiny by others fear of being embarrassed, humiliated, or being judged by others situations are avoided or endured with intense fear

Social Anxiety Disorder

Social Anxiety Disorder | - differential

``` GAD Panic D/O Agoraphobia Separation anxiety specific phobia schizoid personality disorder avoidant personality disorder depressive disorder ```

Social Anxiety disorder | - interventions

Adjunct behavioral training group for social skills meeting with a psychiatrist ``` systemic desensitization assertiveness and social skills training rehearsal relaxation training guided imagery exposure therapy ```

Panic Disorder | - duration

at least one month

Panic disorder | - symptom

abrupt surge of intense fear with symptoms of: pounding heart, chest pain, trembling, nausea, sweating, dizziness, dread, confusion, desire to flee - recurrent - unexpected 1 month of worrying about having another attack change in behaviors to avoid having another attack

Panic Disorder

Panic Disorder | -differential

anxiety due to medical substance use other anxiety disorder

Agoraphobia | - duration

at least 6 months

Agoraphobia | - symptoms

fear of using public transportation, open spaces, enclosed spaces, standing in line, being in a crowd, being outside of home alone fear escape may be difficult or help not available in case of panic attack

Agoraphobia

Agoraphobia | - differential

``` specific phobia separation anxiety social anxiety acute stress disorder PTSD Panic disorder MDD other medical condiation ```

Agoraphobia | - interventions

Identify, challenges, and replace biased, fearful self-talk with positive, realistic, and empowering self-talk Learn and implement calming skills to reduce and manage anxiety symptoms that may emerge during phobic situations Assist the client with committing to not allowing phobic fear to take control of own life Exposure therapy CBT Progressive muscle relaxation Imaginal desensitization

Generalized Anxiety Disorder | - duration

at least 6 months more days than not

Generalized anxiety disorder | - symptoms

Anxious all the time over diverse issues muscle tension, irritability, sleep disturbance, restlessness, easily fatigued, difficulty concentrating, on edge

Generalized Anxiety Disorder

Generalized Anxiety Disorder | - differential

``` anxiety due to medical condition substance induced anxiety panic disorder social phobia OCD somatic disorder separation anxiety PTSD Adjustment disorder ```

Generalized Anxiety Disorder | - interventions

CBT Relaxation therapy Role-playing helps with problem solving in anxiety provoking situation